And the Beat (and Fight) Goes On

by: Mike Lux

Sun Sep 20, 2009 at 13:00


When you get down toward the end of a legislative fight as big, complex, messy, expensive, painful, and politically and economically significant as health care, every day is a wild ride with highs and lows. You never know where you are going to end up on that day, let alone at the very end of the battle. The latest developments in health care are just the latest in this long saga.

The worst moments of the last few days are diving into the details of this godawful Senate Finance Committee bill. It's hard to know whether to laugh or cry. I mean I knew the bill coming out of Finance would be the lowest moment in the debate.  I (and everyone else following this debate) have been predicting that since this fight began. But when you look at how bad this thing truly is, it makes your head swim. The bill makes it harder for women to be covered for abortions and legal immigrants to be covered at all. It penalizes employers for hiring poor people. It makes health insurance coverage unaffordable for many middle income people. It taxes high quality insurance plans. It provides no actual competition for private insurance plans, and no check on insurance companies' power. It is just a rotten, rotten bill all the way around, almost certainly worse than existing law, which is hard to do.

On the other hand, a lot of good things have happened this week. The AFL-CIO convention was one big strong pushback against the Baucus bill and in favor of the public option, the highlight of which was AFSCME President Jerry McEntee leading a chant of "Bullshit!" on the convention floor in response to the Baucus bill. At Obama  rallies in Minneapolis and College Park, MD, the mere mention of the public option brought waves of uproarious cheers, while the mention by the President of the Baucus plan at the MD rally brought a massive round of loud boos. In the Senate, progressive members of the Finance Committee rebelled against the Baucus bill, likely forcing him to make changes, while a Senate Democratic caucus last night had Baucus retreating. And in the House, Nancy Pelosi once again made clear the importance of a very strong bill including a public option.

One final note I might add. At times in this long and ugly debate, the collective weight of the traditional media's conventional wisdom and signals by various political insiders have made public option advocates a little (or more than a little) discouraged. But I see new life and drive in their efforts- new ads going up by a variety of groups, some big direct action efforts being launched next week, grassroots lobbying efforts picking up steam. And some of them, by the way, are by organizations with very close ties to the White House, like Americans United for Change- if the White House thought the public option was dead, I doubt if AUFC would be making this kind of push.

The Baucus bill is an unmitigated disaster. In the 20-plus years I have been working on the national health care issues, it is easily the worst single bill I have ever seen introduced by a Democratic member of Congress. But it feels like a whole lot of people are beginning to understand that, and that the drive for a good health care bill is alive again.

Mike Lux :: And the Beat (and Fight) Goes On

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AFL-CIO endorsed single-payer, not public option (4.00 / 2)
I was surprised by this statement:

The AFL-CIO convention was one big strong pushback against the Baucus bill and in favor of the public option

I thought that the AFL-CIO unanimously endorsed single-payer:

It marked the first time in some two decades that the AFL-CIO, the leading voice of the American labor movement, which includes 56 unions and more than 10 million members, has been formally on record in support of single-payer, which would essentially expand and improve Medicare to cover all Americans...

The resolution notes that "the experience of Medicare (and of nearly every other industrialized country) shows the most cost-effective and equitable way to provide quality healthcare is through a single-payer system. Our nation should provide a single high standard of comprehensive care for all." It also sites specific single-payer bills, including HR 676, which has 86 cosponsors in Congress.

If they endorse single-payer, I'm sure they favor the public option over the horrible BaucusCare bill, but endorsing single-payer is not the same thing as endorsing the public option. The public option is a very watered-down version of single-payer -- an enormous compromise. I'm surprised that you conflated the two positions.


Yes Mike this is true, did it do both? (4.00 / 1)
Demand eventual single payer? Place it on the front burner for the next set of requirements for getting the AFL-CIO's endorsement? Did they support the passage of this Bill, and call for SP? The AFL-CIO has never, literally never been this progressive in my understanding before. This bodes very well for passage of single payer in States and soon federally.

Clarification on that would great. But anyone can respond with an answer, even before Mike.

Second thanks for this round up of reports from the road and the staff and operatives.

I personally have new found encouragement from evewnts around the Globe, though a lot from the administration and Obama: The shelving of the Reagan/Bush ballistic missile plan finally; the continued drive toward total nuclear disarmament and the steps including restarting Start Talks; the call for three party Middle East talks; the revoking of travel Visa's for the coup government in Honduras; the directly stated 'scepticism' about growing the military Afghanistan; the FCC's and congress' nearing passage of net neutrality regulation and laws and yes President Obama's full court press to pass this Health Reform Bill "even with" 51% of the Senate. All great stuff, all appreciated all moving us forward.

But none of it is enough either. Steps yes, more steps soon. Steps without arrival is mere dance. We need the Health Bill Passed, and we need renewed pressure to single payer. The latter from congress as soon as possible. Real reductions in weapons so as to provide the moral stature that can call for global elimination; in the ME, real penalties for EITHER SIDE not complying, Israel needs to know that like the Palestinians they are being held to account, and the thousand 'Bantustans' that Palestinians are on is not a nation, and settlements must stop, and a real border resembling 1967's border will be necessary for peace. etc etc. etc. We need more action to complement, to finish all these good indicators, but I feel like the momentum toward change is again with us.

BTW, no one has mentioned it, but I like that Obama is spending money supporting openleft. B-) Even those that bite the hands are getting support. Ads like this one----> are appreciated.  

--

The government has a defect: it's potentially democratic. Corporations have no defect: they're pure tyrannies. -Chomsky


[ Parent ]
Obama's health care is the Baucus bill. (0.00 / 0)
Obama is the one defying Americans to guarantee improved profits and bonuses to the insurance industry.  When they pass a steaming pile of garbage, Obama's name will be all over it. This explains why he wants to wait until 2013 to implement it.  If its good enough for him to sign, its good enough for him to live and die on in 2012.  


[ Parent ]
DEFEAT BAUCUS, DEFEAT BAUCUS, DEFEAT BAUCUS (4.00 / 2)
I hope that everyone familiar with the outrageous anti-public bill you describe will resolve to DEFEAT BAUCUS when he comes up for re-election.

I just wish a progressive candidate would announce his/her intention to run against him TODAY and start a campaign fund to which we could all start contributing.

I'd be one of the first contributors.

Nancy Bordier is the author of Re-Inventing Democracy: How U.S. Voters Can Get Control of Government and Restore Popular Sovereignty in America. The book can be read free online by clicking here.

A prototype website illustrating how the Interactive Voter Choice System works can be accessed at Citizens Winning Hands.


It took Baucus a long time to excrete that mess, lets just flush it and not fight it. (0.00 / 0)


--

The government has a defect: it's potentially democratic. Corporations have no defect: they're pure tyrannies. -Chomsky


[ Parent ]
Can we set up a donation window for a(n) (eventual) candidate to primary Baucus? (0.00 / 0)
Legally, ethically and administratively, is it possible?

--

The government has a defect: it's potentially democratic. Corporations have no defect: they're pure tyrannies. -Chomsky


[ Parent ]
If it isn't now, (4.00 / 2)
let's figure how to make it possible.

Maybe we could create a Blue Dog Defeat Fund!


[ Parent ]
Good idea! but actblue might not be able to do it. (0.00 / 0)


--

The government has a defect: it's potentially democratic. Corporations have no defect: they're pure tyrannies. -Chomsky


[ Parent ]
It's not *all* bad. (0.00 / 0)
Just almost.

The tax on expensive plans actually does one thing very well: the much-vaunted bending of the curve. Yes, the unions oppose it, but in this case, perhaps ironically, it's the unions who are the entrenched interests fighting good policy. Nearly everyone who's studied it agrees that getting rid of or at least curbing the tax exclusion is one of the biggest possible steps you could take towards reducing the distortions in the market and getting costs down. (Universal healthcare is great, but bankrupting the government and sinking the economy would be notable drawbacks.)

Depending on what comes out of Finance and how it's merged with HELP and the House bill, we could end up with a number of scenarios.

Best of all worlds: Medicare-based public option from day one, employer mandate, a national exchange open to everyone, high subsidies, paid for by an excise tax on expensive insurance plans and by capping tax deductions for the wealthy.

Worst of all worlds: Co-ops or not even that, Baucus's free-rider provision, per-state exchanges open only to small businesses and the uninsured, insufficient subsidies, paid for by... well, a surtax on the wealthy isn't actively bad by any means, but it's not as good as the other two, above (revenue would grow slower than costs, for one thing).

And then, of course, any number of combinations in between (plus all the other things not mentioned which also matter). The first would be pretty awesome, the last a pile of shit so steaming the EPA would have to step in, so that's quite a bit of range.


Well I'm glad (0.00 / 0)
they aren't funding abortions, or bringing illegal immigrants fully into the system (they can still get emergency care, before being returned home).

What I'm curious about is this: can the Baucus bill even get out of the Senate Finance Committee (given that Rocky and Cantwell have come out against it), and if it can't, does that make HELP the de facto starting point for any Senate bill?


Yes, the Baucus bill is goddam awful! But Obama is supporting the Senator... (0.00 / 0)
..by repeatedly taking his side in public speeches, and not saying one word of criticism about the horrible result of his overlong "debates" in his idiotically pro-business biased subcommittee. So, this makes it much harder to fight that crap. Why don't you point that out, Mike?

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